Reason Code 12102
When the bill type in item 4 is 81 or 82 for a hospice bill, the patient status code must be 01, 21, 30, 40, 41, 42, 43, 50, 51, 66 or 70.
Explanation and Suggestion
This reason code is referring to hospice bill types which are located in field locator 4 on the UB-04.
There are many patient status codes available to Medicare billers; however, the only status codes that can be entered on a hospice claim are those listed in reason code 12102.
Make sure there is only one status code entered per claim, and ensure it is one of the codes described in reason code 12102. Resubmit the corrected claim.